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Individual

JAMIE W SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, APNP

Contact information

Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7600
(262) 532-7602
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 532-7600
(262) 532-7602

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2182
WI
363LF0000X
Family Nurse Practitioner
Primary
2182033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336204973
WI
05
36022600
WI
Enumeration date
12/26/2006
Last updated
09/14/2023
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